Organization
JOGNI LLC
Active
Other names
BRACEY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SANDIP PATEL (OWNER)
(570) 875-1300
Entity
Organization
Contact information
Practice address
626 W CENTER ST, ASHLAND, PA 17921-1332
(570) 875-1300
(570) 875-2817
Mailing address
626 W CENTER ST, ASHLAND, PA 17921-1332
(570) 875-1300
(570) 875-2817
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PP410237L
PA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154590
PK
—
Enumeration date
10/13/2015
Last updated
02/26/2020
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